Case Report

Pancreaticopleural Fistula: A Review of Imaging Diagnosis and Early Endoscopic Intervention

Table 1

Demographics and clinical data of previously reported cases of pancreaticopleural fistula between 2007 and 2017. N = total number of cases. n is the number of cases data reported. SD = standard deviation.

VariablesNn (percentage) or Mean ± SD

Male gender4334 (79%)
Mean Age (years)4150 ± 13
History of chronic pancreatitis3020 (47%)
History of alcohol use4031 (78%)
Pleural fluid amylase (IU/L)4330021 ± 25410
CT Identified Fistula Tract4025 (63%)
MRCP Identified Fistula Tract2420 (83%)
ERCP Identified Fistula Tract4330 (70%)
Medical treatment3933 (85%)
Post-ERCP acute pancreatitis212 (9.5%)
Post-ERCP superinfection of pleural fluid226 (27.0%)
Operative management4323 (53%)
 Partial/total pancreatectomy7 (30%)
 Thoracostomy/decortication7 (30%)
 Pancreaticojejunostomy4 (18%)
 Exploratory laparoscopy and external drainage4 (18%)
 Surgical sphincterotomy1 (4%)
Duration of hospital stay (days)27 ± 16
Mortality431 (2%)